{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T15:10:22Z","timestamp":1790176222117,"version":"4.1.0"},"reference-count":37,"publisher":"International Journal of Sports Physical Therapy","issue":"2","license":[{"start":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T00:00:00Z","timestamp":1643673600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"\n Background<\/jats:title>\n Measures of postural stability are useful in assisting the diagnosing and managing of athlete concussion. Error counting using the Balance Error Scoring System (BESS) is the clinical standard, but has notable limitations. New technologies offer the potential to increase precision and optimize testing protocols; however, whether these devices enhance clinical assessment remains unclear.<\/jats:p>\n <\/jats:sec>\n \n Purpose<\/jats:title>\n To examine the relationships between metrics of balance performance using different measurement systems in uninjured, healthy collegiate athletes.<\/jats:p>\n <\/jats:sec>\n \n Study Design<\/jats:title>\n Cross-sectional.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Five hundred and thirty uninjured collegiate athletes were tested using the C3Logix app, which computes ellipsoid volume as a measure of postural stability during the six standard BESS conditions, while concurrently, errors were manually counted during each condition per standard BESS protocols. The association between concurrently measured ellipsoid volumes and error counts were examined with Spearman\u2019s correlations. From this sample, 177 participants also performed two double-leg conditions on the Biodex BioSway force plate system on the same day. This system computes Sway Index as a measure of postural stability. The association of ellipsoid volume (C3Logix) and Sway Index (Biodex) was examined with Spearman\u2019s correlations. Individual-level data were plotted to visually depict the relationships.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n C3Logix ellipsoid volume and concurrently recorded error counts were significantly correlated in five of the six BESS conditions (rs:.22-.62; p< 0.0001). C3Logix ellipsoid volume and Biodex Sway Index were significantly correlated in both conditions (rs=.22-.27, p< 0.004). However, substantial variability was shown in postural stability across all three measurement approaches.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Modest correlation coefficients between simultaneous and same-day balance assessments in uninjured collegiate athletes suggest a need to further optimize clinical protocols for concussion diagnosis.<\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 2b<\/jats:p>\n <\/jats:sec>","DOI":"10.26603\/001c.31178","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T22:05:33Z","timestamp":1643666733000},"source":"Crossref","is-referenced-by-count":2,"title":["Comparison of Concurrent and Same-Day Balance Measurement Approaches in a Large Sample of Uninjured Collegiate Athletes"],"prefix":"10.26603","volume":"17","author":[{"given":"Jessica","family":"Saalfield","sequence":"first","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA","department":["Department of Kinesiology and Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey L.","family":"Piersol","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA","department":["Department of Kinesiology and Health"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Monaco","sequence":"additional","affiliation":[{"name":"Atlantic Sports Health, Morristown, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Womack","sequence":"additional","affiliation":[{"name":"Department of Family Medicine & Community Health, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ, USA; Department of Athletics, Rutgers University, New Brunswick, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott A","family":"Weismiller","sequence":"additional","affiliation":[{"name":"Dept. of Internal Medicine, Penn State Health, Milton S. Hersey Medical Center, Hershey, PA, US"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie","family":"Esopenko","sequence":"additional","affiliation":[{"name":"Rutgers Biomedical and Health Sciences, Newark, NJ, USA","department":["Department of Rehabilitation and Movement Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabrina M","family":"Todaro","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA","department":["Center of Alcohol and Substance Use Studies"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona N","family":"Conway","sequence":"additional","affiliation":[{"name":"University of Texas at Austin, Austin, TX, USA","department":["Steve Hicks School of Social Work"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Brostrand","sequence":"additional","affiliation":[{"name":"Rutgers University, New Brunswick, NJ, USA","department":["Robert Wood Johnson Barnabas Health \u2013 Rutgers Sports Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1898-5499","authenticated-orcid":false,"given":"Jennifer F.","family":"Buckman","sequence":"additional","affiliation":[{"name":"Department of Kinesiology and Health, Rutgers University, New Brunswick, NJ, USA; Center of Alcohol and Substance Use Studies, Rutgers University, New Brunswick, NJ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11140","published-online":{"date-parts":[[2022,2,1]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1016\/j.pmrj.2008.06.002","article-title":"Intrarater and interrater reliability of the Balance Error Scoring System (BESS)","volume":"1","author":"J T Finnoff","year":"2009","edition":"2009\/07\/25","journal-title":"Pm r"},{"issue":"3","key":"ref2","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1177\/1941738111403122","article-title":"Systematic review of the balance error scoring system","volume":"3","author":"D R Bell","year":"2011","edition":"2011\/05\/01","journal-title":"Sports Health"},{"issue":"11","key":"ref3","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1080\/02699052.2018.1484166","article-title":"Determining sensitivity and specificity of the Sport Concussion Assessment Tool 3 (SCAT3) components in university athletes","volume":"32","author":"R I Downey","year":"2018","edition":"2018\/06\/15","journal-title":"Brain Inj"},{"issue":"2","key":"ref4","doi-asserted-by":"publisher","first-page":"174","DOI":"10.1097\/jsm.0000000000000426","article-title":"Sensitivity and specificity of the Modified Balance Error Scoring System in concussed collegiate student athletes","volume":"28","author":"T A Buckley","year":"2018","journal-title":"Clin J Sport Med"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1080\/23279095.2017.1416471","article-title":"Assessing the effects of concussion using the C3Logix Test Battery: An exploratory study","author":"J P K Bernstein","year":"2019","edition":"2018\/01\/09","journal-title":"Appl Neuropsychol Adult"},{"issue":"2","key":"ref6","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1016\/j.apmr.2013.10.015","article-title":"Instrumenting the Balance Error Scoring System for use with patients reporting persistent balance problems after mild traumatic brain injury","volume":"95","author":"Laurie A King","year":"2014","journal-title":"Archives of Physical Medicine and Rehabilitation","ISSN":"https:\/\/id.crossref.org\/issn\/0003-9993","issn-type":"print"},{"issue":"Pt A","key":"ref7","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1016\/j.ijpsycho.2018.03.005","article-title":"Sub-concussive trauma, acute concussion, and history of multiple concussions: Effects on quiet stance postural control stability","volume":"132","author":"J K Dierijck","year":"2018","edition":"2018\/03\/13","journal-title":"Int J Psychophysiol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/j.clinbiomech.2017.01.007","article-title":"Quantification of postural control deficits in patients with recent concussion: An inertial-sensor based approach","volume":"42","author":"C Doherty","year":"2017","journal-title":"Clin Biomech"},{"issue":"7","key":"ref9","doi-asserted-by":"publisher","first-page":"636","DOI":"10.4085\/1062-6050-129-17","article-title":"Normative performance on the Balance Error Scoring System by youth, high school, and collegiate athletes","volume":"53","author":"S J Ozinga","year":"2018","journal-title":"J Athl Train"},{"issue":"10","key":"ref10","doi-asserted-by":"publisher","first-page":"2233","DOI":"10.1249\/mss.0000000000000656","article-title":"Quantification of the Balance Error Scoring System with mobile technology","volume":"47","author":"J L Alberts","year":"2015","journal-title":"Med Sci Sport Exerc"},{"issue":"11","key":"ref11","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1136\/bjsports-2016-097403","article-title":"What domains of clinical function should be assessed after sport-related concussion? 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